A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Nurses and the disabled child's perspective in the anaesthesia procedure preparation process using a picture schedule
Tekijät: Kaitsalmi, Johanna; Vehkakoski, Tanja; Karlsson, Liisa; Salantera, Sanna
Julkaisuvuosi: 2024
Journal: International Journal of Qualitative Studies on Health and Well-being
Tietokannassa oleva lehden nimi: INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING
Artikkelin numero: ARTN 2356927
Vuosikerta: 19
Numero: 1
ISSN: 1748-2623
eISSN: 1748-2631
DOI: https://doi.org/10.1080/17482631.2024.2356927
Verkko-osoite: https://www.tandfonline.com/doi/full/10.1080/17482631.2024.2356927
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/454718649
Purpose
This study’s purpose was to investigate how nurses, using a picture schedule, enable or hinder the realization of disabled children’s agency in the preparation for an MRI procedure carried out under general anaesthesia.
Methods
A qualitative observation study was used to explore the interaction of nurses and children. The data consisted of video recordings of 25 preparation situations of 3 (3–8 years old) children (with challenges in communication and/or cognitive skills) with 4 nurses. Verbal and nonverbal communication was analysed with interventionist applied conversation analysis.
Results
What was most crucial was how the picture schedule was used during the interaction. Reciprocal information sharing, responding to the child’s initiatives by negotiating and allowing the child to take physical action with the picture schedule enabled the realization of the child’s agency.
Conclusions
The preparation process should aim to help the child prepare in his/her own way. The preparation tools should encourage reciprocal interaction in informing and in responding to the children’s initiatives. The preparation practices should include enough time for the child’s initiatives and physical participation. The results can be used in assessing preparation tools and how they are used from the perspective of the child’s agency.
Ladattava julkaisu This is an electronic reprint of the original article. |
Julkaisussa olevat rahoitustiedot:
This work was supported by Finnish Brain Foundation, Tukilinja Foundation sr., Finnish Association of Child Neurology Nurses, Turku University Hospital Research Foundation, Finnish Nurses Association, Finnish Foundation for Nursing Education, University of Turku/Aili Salon rahasto, TOP-Säätiö and Kansan Sivistysrahasto. The funders played no role in study design; collection, analysis, and interpretation of data; writing of the report; or regarding the submission of the report for publication.